WO2004008990B1 - Multiple corneal inlays for gradual refractive correction - Google Patents

Multiple corneal inlays for gradual refractive correction

Info

Publication number
WO2004008990B1
WO2004008990B1 PCT/US2003/022409 US0322409W WO2004008990B1 WO 2004008990 B1 WO2004008990 B1 WO 2004008990B1 US 0322409 W US0322409 W US 0322409W WO 2004008990 B1 WO2004008990 B1 WO 2004008990B1
Authority
WO
WIPO (PCT)
Prior art keywords
component
cornea
depth
implanted
optical axis
Prior art date
Application number
PCT/US2003/022409
Other languages
French (fr)
Other versions
WO2004008990A3 (en
WO2004008990A2 (en
Inventor
Gholam A Peyman
Original Assignee
Gholam A Peyman
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Gholam A Peyman filed Critical Gholam A Peyman
Priority to AU2003252004A priority Critical patent/AU2003252004C1/en
Priority to AT03765690T priority patent/ATE482675T1/en
Priority to EP03765690A priority patent/EP1534188B1/en
Priority to DE60334385T priority patent/DE60334385D1/en
Priority to EP10171224A priority patent/EP2258311A1/en
Priority to JP2004523534A priority patent/JP4676761B2/en
Publication of WO2004008990A2 publication Critical patent/WO2004008990A2/en
Publication of WO2004008990A3 publication Critical patent/WO2004008990A3/en
Publication of WO2004008990B1 publication Critical patent/WO2004008990B1/en

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/14Eye parts, e.g. lenses, corneal implants; Implanting instruments specially adapted therefor; Artificial eyes
    • A61F2/147Implants to be inserted in the stroma for refractive correction, e.g. ring-like implants
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10STECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10S623/00Prosthesis, i.e. artificial body members, parts thereof, or aids and accessories therefor
    • Y10S623/902Method of implanting
    • Y10S623/905Eye
    • Y10S623/906Corneal

Landscapes

  • Health & Medical Sciences (AREA)
  • Ophthalmology & Optometry (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Prostheses (AREA)
  • Materials For Medical Uses (AREA)
  • Laser Surgery Devices (AREA)
  • Radiation-Therapy Devices (AREA)

Abstract

A system adapted to modify refractivity of a cornea of an eye(10), including a first component (22), adapted to be implanted at a first depth in the cornea (14). A second component (26), separate from the first component (22), adapted to be implanted at a second depth in the cornea (14) at a position relative to the first component (22), such that an axis passing through the eye parallel to the optical axis (30) passes through the second component (26) without passing through the first component (22). The second depth is closer to the front surface of the cornea (14) than the first depth.

Claims

AMENDED CLAIMS received by the International Bureau on 19 July 2004 (19.07.2004) claims 1-49 are replaced by new claims 1-49 (9 pages).
1. A system, adapted to modify refractivity of a cornea of an eye, comprising: a first component, having an opening therein, and being adapted to be implanted at a first depth in the cornea without intersecting the optical axis of the eye; and a second component, separate from said first component, and being adapted to be implanted at a second depth in the cornea, such that a front surface of said second component is closer to the front surface of the cornea than is a front surface of said first component implanted at said first depth, and at a position relative to said first component without contacting said first component, such that said second component substantially surrounds the optical axis of the eye when said second component is implanted at said second depth.
2. A system as claimed in claim 1, wherein: said first component is configured such that the optical axis of the eye passes through said opening when said first component is implanted at said first depth in the cornea.
3. A system as claimed in claim 1, wherein: said second component is configured such that the optical axis of the eye passes through said second component when said second component is implanted at said second depth in the cornea.
4. A system as claimed in claim 1, wherein: said first component is configured such that the optical axis of the eye passes through said opening when said first component is implanted at said first depth in the cornea; and said second component is configured such that the optical axis of the eye passes through said second component when said second component is implanted at said second depth in the cornea.
5. A system as claimed in claim 1, wherein: said second component has an opening therein.
6. A system as claimed in claim 1, wherein: at least one of said first and second components includes a plurality of perforations therein.
7. A system as claimed in claim 6, wherein: at least one of said perforations has a cross-sectional dimension within a range of about 0.1 micron to about 500 microns.
8. A system as claimed in claim 1, wherein: at least one of said first and second components includes at least one of the following: collagen, acrylic acid, an ablatable polymer, methacrylate, methocrylate gel, polyvinylprolidine and silicone.
9. A system as claimed in claim 1, wherein: at least one of said first and second components is adapted for ablation by an energy source.
10. A system as claimed in claim 9, wherein: said energy source includes a laser.
11. A system as claimed in claim 1, wherein at least one of the following: said first component includes a first portion having a first refractive power; and said second component includes a second portion having a second refractive power.
12. A system as claimed in claim 1, wherein: said second component has an opening therein through which the optical axis passes when said second component is implanted at said second depth.
13. A system as claimed in claim 12, wherein: said second component is configured such that the optical axis of the eye passes through said opening when said second component is implanted at said second depth in the cornea.
14. A system, adapted to modify refractivity of a cornea of an eye, comprising: a first component having an opening therein, adapted to be implanted at a first depth in the cornea such that the optical axis of the eye passes through said opening; and a second component, adapted to be implanted at a second depth in the cornea at a position relative to said first component without contacting said first component, such that a front surface of said second component is closer to the front surface of the cornea than is a front surface of said first component implanted at said first depth, and a portion of said second component is closer to the optical axis than a portion of said first component.
15. A system as claimed in claim 14, wherein: said first component is adapted to be implanted at a first depth in the cornea and said second component is adapted to be implanted at a second depth in the cornea, said second depth being closer to the front surface of the cornea than is said first depth.
16. A system as claimed in claim 14, wherein: said second component has an opening therein.
17. A system as claimed in claim 16, wherein: said second component is configured such that the optical axis of the eye passes through said opening when said second component is implanted at said second depth in the cornea.
18. A system as claimed in claim 14, wherein: said second component is configured such that the optical axis of the eye passes through said second component when said second component is implanted in the cornea.
19. A system as claimed in claim 14, wherein: at least one of said first and second components includes a plurality of perforations therein.
20. A system as claimed in claim 19, wherein: at least one of said perforations has a cross-sectional dimension within a range of about 0.1 micron to about 500 microns.
21. A system as claimed in claim 14, wherein: at least one of said first and second components includes at least one of the following: collagen, acrylic acid, an ablatable polymer, methacrylate, methocrylate gel, polyvinylprolidine and silicone.
22. A system as claimed in claim 14, wherein: at least one of said first and second components is adapted for ablation by an energy source.
23. A system as claimed in claim 22, wherein: said energy source includes a laser.
24. A system as claimed in claim 14, wherein at least one of the following: said first component includes a first portion having a first refractive power; and said second component includes a second portion having a second refractive power.
25. A method for modifying refractivity of a cornea of an eye, comprising: implanting a first component, having an opening therein, at a first depth in the cornea without intersecting the optical axis of the eye; and implanting a second component, separate from said first component, at a second depth in the cornea at a position relative to said first component without contacting said first component, such that a front surface of said second component is closer to the front surface of the cornea than is a front surface of said first component implanted at said first depth, and said second component substantially surrounds the optical axis of the eye when said second component is implanted at said second depth .
26. A method as claimed in claim 25, wherein: said first component implanting step includes positioning said first component such that the optical axis of the eye passes through said opening when said first component is implanted at said first depth in the cornea.
27. A method as claimed in claim 25, wherein: said second component implanting step includes positioning said second component such that the optical axis of the eye passes through said second component when said second component is implanted at said second depth in the cornea.
28. A method as claimed in claim 25, wherein: said first component implanting step includes positioning said first component such that the optical axis of the eye passes through said opening when said first component is implanted at said first depth in the cornea; and said second component implanting step includes positioning said second component such that the optical axis of the eye passes through said second component when said second component is implanted at said second depth in the cornea.
29. A method as claimed in claim 25, wherein: at least one of said first and second components includes a plurality of perforations therein.
30. A method as claimed in claim 29, wherein: at least one of said perforations has a cross-sectional dimension within a range of about 0.1 micron to about 500 microns.
31. A method as claimed in claim 25, wherein: at least one of said first and second components includes at least one of the following: collagen, acrylic acid, an ablatable polymer, methacrylate, methocrylate gel, polyvinylprolidine and silicone.
32. A method as claimed in claim 25, further comprising the step of: ablating at least one of said first and second components using an energy source.
33. A method as claimed in claim 32, wherein: said energy source includes a laser.
34. A method as claimed in claim 25, wherein at least one of the following: said first component includes a first portion having a first refractive power; and said second component includes a second portion having a second refractive power.
35. A method as claimed in claim 25, wherein: said second component has an opening therein.
36. A method as claimed in claim 35, wherein: said second component implanting step includes positioning said second component such that the optical axis of the eye passes through said opening when said second component is implanted at said second depth in the cornea.
37. A method as claimed in claim 25, wherein: said first and second component positioning steps position said first and second components such that a portion of the cornea is present between at least a portion of said first component and at least a portion of said second component.
38. A method for modifying refractivity of a cornea of an eye, comprising: implanting a first component having an opening therein at a first depth in the cornea such that the optical axis of the eye passes through said opening; and implanting a second component at a second depth in the cornea at a position relative to said first component without contacting said first component, such that a front surface of said second component is closer to the front surface of the cornea than is a front surface of said first component implanted at said first depth, and a portion of said second component is closer to the optical axis than a portion of said first component.
39. A method as claimed in claim 38, wherein: said first component implanting step includes implanting said first component at a first depth in the cornea; and said second component implanting step includes implanting said second component at a second depth in the cornea, said second depth being closer to the front surface of the cornea than is said first depth.
40. A method as claimed in claim 38, wherein: said second component implanting step includes positioning said second component such that the optical axis of the eye passes through said second component when said second component is implanted in the cornea.
41. A method as claimed in claim 38, wherein: at least one of said first and second components includes a plurality of perforations therein.
42. A method as claimed in claim 41 , wherein: at least one of said perforations has a cross-sectional dimension within a range of about 0.1 micron to about 500 microns.
43. A method as claimed in claim 38, wherein: at least one of said first and second components includes at least one of the following: collagen, acrylic acid, an ablatable polymer, methacrylate, methocrylate gel, polyvinylprolidine and silicone.
44. A method as claimed in claim 38, further comprising the step of: ablating at least one of said first and second components using an energy source.
45. A method as claimed in claim 44, wherein: said energy source includes a laser.
46. A method as claimed in claim 38, wherein at least one of the following: said first component includes a first portion having a first refractive power; and said second component includes a second portion having a second refractive power.
47. A method as claimed in claim 38, wherein: said second component has an opening therein.
48. A method as claimed in claim 47, wherein: said second component implanting step includes positioning said second component such that the optical axis of the eye passes through said opening when said second component is implanted at said second depth in the cornea.
49. A method as claimed in claim 38, wherein: said first and second component positioning steps position said first and second components such that a portion of the cornea is present between at least a portion of said first component and at least a portion of said second component.
PCT/US2003/022409 2002-07-19 2003-07-18 Multiple corneal inlays for gradual refractive correction WO2004008990A2 (en)

Priority Applications (6)

Application Number Priority Date Filing Date Title
AU2003252004A AU2003252004C1 (en) 2002-07-19 2003-07-18 Multiple corneal inlays for gradual refractive correction
AT03765690T ATE482675T1 (en) 2002-07-19 2003-07-18 OPTICAL IMPLANT FOR THE CORNEA
EP03765690A EP1534188B1 (en) 2002-07-19 2003-07-18 Optical Corneal Implant
DE60334385T DE60334385D1 (en) 2002-07-19 2003-07-18 Optical implant for the cornea
EP10171224A EP2258311A1 (en) 2002-07-19 2003-07-18 Optical corneal implant
JP2004523534A JP4676761B2 (en) 2002-07-19 2003-07-18 Gradual correction of corneal refractive disorder using multiple implants

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US10/197,885 2002-07-19
US10/197,885 US6855163B2 (en) 2002-07-19 2002-07-19 Gradual correction of corneal refractive error using multiple inlays

Publications (3)

Publication Number Publication Date
WO2004008990A2 WO2004008990A2 (en) 2004-01-29
WO2004008990A3 WO2004008990A3 (en) 2004-07-15
WO2004008990B1 true WO2004008990B1 (en) 2004-09-10

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Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2003/022409 WO2004008990A2 (en) 2002-07-19 2003-07-18 Multiple corneal inlays for gradual refractive correction

Country Status (8)

Country Link
US (1) US6855163B2 (en)
EP (2) EP1534188B1 (en)
JP (2) JP4676761B2 (en)
AT (1) ATE482675T1 (en)
AU (1) AU2003252004C1 (en)
DE (1) DE60334385D1 (en)
ES (1) ES2354036T3 (en)
WO (1) WO2004008990A2 (en)

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AU2003252004B2 (en) 2009-09-03
JP2010214131A (en) 2010-09-30
WO2004008990A3 (en) 2004-07-15
US6855163B2 (en) 2005-02-15
DE60334385D1 (en) 2010-11-11
EP1534188B1 (en) 2010-09-29
EP2258311A1 (en) 2010-12-08
US20040015234A1 (en) 2004-01-22
ES2354036T3 (en) 2011-03-09
WO2004008990A2 (en) 2004-01-29
EP1534188A4 (en) 2007-01-03
ATE482675T1 (en) 2010-10-15
JP2005533576A (en) 2005-11-10
EP1534188A2 (en) 2005-06-01
AU2003252004A1 (en) 2004-02-09
AU2003252004C1 (en) 2010-03-11
JP4676761B2 (en) 2011-04-27

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